, TABLE OF CONTENT.
SET 1 EXAM ………………………………. PAGE 2
SET 2 EXAM ………………………………. PAGE 61
SET 3 EXAM ………………………………. PAGE 123
SET 4 EXAM ……………………………….PAGE 190
SET 5 EXAM ……………………………….PAGE 272
ATI RN Comprehensive Predictor Exam
Practice Question Bank — 900 Original NCLEX-Style Review Questions with
Rationales
This study guide contains 900 original, NCLEX-style multiple-choice and select-all-that-apply
practice questions written to help review the major content areas typically covered on a
comprehensive nursing predictor examination. Each question includes the correct answer(s)
and an evidence-based rationale. These questions are original review material and are not
reproductions of any proprietary examination content.
Content Areas Covered
● Fundamentals & Safety
● Pharmacology
● Cardiovascular
● Respiratory
● Renal & Genitourinary
● Endocrine
● Gastrointestinal
● Neurological
● Musculoskeletal
● Hematology & Oncology
● Mental Health
● Maternal Newborn
● Pediatrics
● Leadership, Management & Prioritization
● Infection Control & Community Health
,SET 1
Fundamentals & Safety
Question 1
A nurse is preparing to transfer a client who had a stroke with left-sided weakness from the
bed to a wheelchair. Which of the following actions should the nurse take?
A. Place the wheelchair on the client's left side
B. Place the wheelchair on the client's right side, or strong side
C. Instruct the client to lead with the weak leg
D. Ask the client to stand using only the weak arm for support
Correct Answer: B
Rationale: The wheelchair should be positioned on the client's stronger, unaffected side so the client
can pivot and bear weight safely using the stronger extremities, reducing fall risk.
Question 2
A nurse finds a client on the floor of their room. After ensuring the client is safe, which
action should the nurse take first?
A. Complete an incident report
B. Notify the client's family
C. Assess the client for injury
D. Document the event in the medical record
Correct Answer: C
Rationale: The priority after an unwitnessed fall is a hands-on assessment for injury (vital signs, neuro
status, pain) before any documentation or notification steps.
Question 3
A nurse is teaching a client about the use of a cane for left leg weakness. Which statement
by the client indicates a need for further teaching?
A. “I will hold the cane in my right hand.”
B. “I will move the cane forward first, then my left leg.”
C. “I will move my right leg forward first, then the cane.”
D. “The cane should reach the level of my hip.”
Correct Answer: C
Rationale: The cane should advance together with (or just before) the weaker leg; moving the strong
leg first defeats the support the cane provides to the weak side, increasing fall risk.
, Question 4
A nurse is applying a vest-type restraint to a client. Which of the following actions should
the nurse take?
A. Secure the ties to the bed side rails
B. Secure the ties to the movable part of the bed frame
C. Tie the restraint with a quick-release knot
D. Attach the restraint tightly enough to leave no space for two fingers
Correct Answer: C
Rationale: Restraint ties must use a quick-release knot attached to a non-movable part of the bed
frame (not the rails), allowing rapid removal in an emergency while permitting two fingers of space for
circulation.
Question 5
A nurse is assessing a client's peripheral IV site and notes redness, warmth, and a
palpable cord along the vein. This finding is most consistent with which complication?
A. Infiltration
B. Phlebitis
C. Air embolism
D. Fluid overload
Correct Answer: B
Rationale: Redness, warmth, tenderness, and a palpable venous cord are classic signs of phlebitis
(inflammation of the vein), distinct from infiltration, which typically presents with cool, swollen, pale
tissue.
Question 6
A nurse is caring for a client receiving a blood transfusion who develops chills, low back
pain, and hematuria 15 minutes after the transfusion starts. Which action should the nurse
take first?
A. Slow the infusion rate
B. Stop the transfusion and infuse normal saline through a new line
C. Administer an antihistamine
D. Notify the provider
Correct Answer: B
Rationale: These findings suggest an acute hemolytic transfusion reaction. The nurse must stop the
transfusion immediately and keep the vein open with 0.9% saline through new tubing before further
steps such as notifying the provider.
SET 1 EXAM ………………………………. PAGE 2
SET 2 EXAM ………………………………. PAGE 61
SET 3 EXAM ………………………………. PAGE 123
SET 4 EXAM ……………………………….PAGE 190
SET 5 EXAM ……………………………….PAGE 272
ATI RN Comprehensive Predictor Exam
Practice Question Bank — 900 Original NCLEX-Style Review Questions with
Rationales
This study guide contains 900 original, NCLEX-style multiple-choice and select-all-that-apply
practice questions written to help review the major content areas typically covered on a
comprehensive nursing predictor examination. Each question includes the correct answer(s)
and an evidence-based rationale. These questions are original review material and are not
reproductions of any proprietary examination content.
Content Areas Covered
● Fundamentals & Safety
● Pharmacology
● Cardiovascular
● Respiratory
● Renal & Genitourinary
● Endocrine
● Gastrointestinal
● Neurological
● Musculoskeletal
● Hematology & Oncology
● Mental Health
● Maternal Newborn
● Pediatrics
● Leadership, Management & Prioritization
● Infection Control & Community Health
,SET 1
Fundamentals & Safety
Question 1
A nurse is preparing to transfer a client who had a stroke with left-sided weakness from the
bed to a wheelchair. Which of the following actions should the nurse take?
A. Place the wheelchair on the client's left side
B. Place the wheelchair on the client's right side, or strong side
C. Instruct the client to lead with the weak leg
D. Ask the client to stand using only the weak arm for support
Correct Answer: B
Rationale: The wheelchair should be positioned on the client's stronger, unaffected side so the client
can pivot and bear weight safely using the stronger extremities, reducing fall risk.
Question 2
A nurse finds a client on the floor of their room. After ensuring the client is safe, which
action should the nurse take first?
A. Complete an incident report
B. Notify the client's family
C. Assess the client for injury
D. Document the event in the medical record
Correct Answer: C
Rationale: The priority after an unwitnessed fall is a hands-on assessment for injury (vital signs, neuro
status, pain) before any documentation or notification steps.
Question 3
A nurse is teaching a client about the use of a cane for left leg weakness. Which statement
by the client indicates a need for further teaching?
A. “I will hold the cane in my right hand.”
B. “I will move the cane forward first, then my left leg.”
C. “I will move my right leg forward first, then the cane.”
D. “The cane should reach the level of my hip.”
Correct Answer: C
Rationale: The cane should advance together with (or just before) the weaker leg; moving the strong
leg first defeats the support the cane provides to the weak side, increasing fall risk.
, Question 4
A nurse is applying a vest-type restraint to a client. Which of the following actions should
the nurse take?
A. Secure the ties to the bed side rails
B. Secure the ties to the movable part of the bed frame
C. Tie the restraint with a quick-release knot
D. Attach the restraint tightly enough to leave no space for two fingers
Correct Answer: C
Rationale: Restraint ties must use a quick-release knot attached to a non-movable part of the bed
frame (not the rails), allowing rapid removal in an emergency while permitting two fingers of space for
circulation.
Question 5
A nurse is assessing a client's peripheral IV site and notes redness, warmth, and a
palpable cord along the vein. This finding is most consistent with which complication?
A. Infiltration
B. Phlebitis
C. Air embolism
D. Fluid overload
Correct Answer: B
Rationale: Redness, warmth, tenderness, and a palpable venous cord are classic signs of phlebitis
(inflammation of the vein), distinct from infiltration, which typically presents with cool, swollen, pale
tissue.
Question 6
A nurse is caring for a client receiving a blood transfusion who develops chills, low back
pain, and hematuria 15 minutes after the transfusion starts. Which action should the nurse
take first?
A. Slow the infusion rate
B. Stop the transfusion and infuse normal saline through a new line
C. Administer an antihistamine
D. Notify the provider
Correct Answer: B
Rationale: These findings suggest an acute hemolytic transfusion reaction. The nurse must stop the
transfusion immediately and keep the vein open with 0.9% saline through new tubing before further
steps such as notifying the provider.
